Healthcare Provider Details

I. General information

NPI: 1740118637
Provider Name (Legal Business Name): MYRACLE WORKERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3724 SE 14TH ST
DES MOINES IA
50320-1410
US

IV. Provider business mailing address

3724 SE 14TH ST
DES MOINES IA
50320-1410
US

V. Phone/Fax

Practice location:
  • Phone: 515-708-0193
  • Fax:
Mailing address:
  • Phone: 515-708-0193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. BRANDI V MCFADDEN
Title or Position: OWNER
Credential: HHA
Phone: 515-708-0193